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General NPI Number Information
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NPI Number | 1427858513
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Entity Type | Individual
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Provider Name | ROBIN RENEE MCCLAIN
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Gender | Female
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 2916 PEACH BLOSSOM DR STE 106
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-8380
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Country | US
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Telephone | 812-570-1575
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Fax |
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Provider Business Mailing Address
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Address Line | 2916 PEACH BLOSSOM DR STE 106
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-8380
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Country | US
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Telephone | 812-570-1575
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28192533C
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-203639
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1-203639
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71016695A
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License Number State | IN
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